| NPI | 1104023316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD440044) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD440044) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 25ma07835700) | |
| 208000000X Pediatrics (Licence: NJ 25ma07835700) | |
| 208000000X Pediatrics (Licence: PA MD440044) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-04-15 |